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Updated: Mar 19, 2026

Proliferation and Differentiation of Murine Myeloid Precursor 32D/G-CSF-R Cells
Published on: February 21, 2018
Epigenetic control of gene expression in leukemogenesis: Cooperation between wild type MLL and MLL fusion proteins
Erica Ballabio1, Thomas A Milne1
1MRC Molecular Hematology Unit; Weatherall Institute of Molecular Medicine; University of Oxford ; Oxford, UK.
Abstract:
Although there has been great progress in the treatment of human cancers, especially leukemias, many remain resistant to treatment. A major current focus is the development of so-called epigenetic drugs. Epigenetic states are stable enough to persist through multiple cell divisions, but by their very nature are reversible and thus are amenable to therapeutic manipulation. Exciting work in this area has produced a new breed of highly specific small molecules designed to inhibit epigenetic proteins, some of which have entered clinical trials. The current and future development of epigenetic drugs is greatly aided by highly detailed information about normal and aberrant epigenetic changes at the molecular level. In this review we focus on a class of aggressive acute leukemias caused by mutations in the Mixed Lineage Leukemia (MLL) gene. We provide an overview of how detailed molecular analysis of MLL leukemias has provided several early-stage epigenetic drugs and propose that further study of MLL leukemogenesis may continue to provide molecular details that potentially have a wider range of applications in human cancers.
Insights
Epigenetic drugs offer new hope for treating aggressive leukemias. Research into Mixed Lineage Leukemia (MLL) gene mutations is yielding targeted therapies with potential for broader cancer applications.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Cancer treatments, particularly for leukemias, face challenges with drug resistance.
- Epigenetic drugs, targeting reversible molecular changes, are a promising therapeutic avenue.
- Understanding epigenetic alterations at the molecular level is crucial for developing new cancer therapies.
Purpose of the Study:
- To review the role of epigenetic drugs in treating aggressive acute leukemias caused by Mixed Lineage Leukemia (MLL) gene mutations.
- To highlight how molecular analysis of MLL leukemias has informed the development of early-stage epigenetic drugs.
- To propose further research into MLL leukemogenesis for wider cancer treatment applications.
Main Methods:
- Review of current literature on epigenetic drugs and MLL leukemias.
- Analysis of molecular details of epigenetic changes in MLL leukemogenesis.
- Focus on small molecule inhibitors targeting epigenetic proteins.
Main Results:
- Detailed molecular analysis of MLL leukemias has identified targets for epigenetic drug development.
- Several early-stage epigenetic drugs have emerged from research on MLL leukemias.
- Epigenetic drugs show potential for treating cancers resistant to conventional therapies.
Conclusions:
- MLL leukemogenesis research provides valuable insights for developing targeted epigenetic therapies.
- Further study of MLL leukemias may uncover molecular details applicable to a wider range of human cancers.
- Epigenetic drugs represent a significant advancement in cancer treatment, especially for resistant leukemias.
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